M050 - Request for information on amount of income - special non-contributory cash benefits
Article 70 of Regulation (EC) No 883/2004
SED API version: 0.15.2 build 3
Model version: 4.1.0
1. Person Income Requested
*
[ SED ]
1.1. Person
*
[ SED ]
1.1.1. Person Identification
*
[ CC ]
1.1.1.1. Family name(s)
*
[ BDT ]
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1.1.1.2. Forename(s)
*
[ BDT ]
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1.1.1.3. Date of birth
*
[ BDT ]
{{metaSection.dateBirth.$$error}}
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1.1.1.4. Sex
*
{{option.name}}
[ ENUM ]
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1.1.1.5. Family name(s) at birth
[ BDT ]
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1.1.1.6. Forename(s) at birth
[ BDT ]
{{metaSection.forenameAtBirth.$$error}}
{{metaSection.forenameAtBirth.$$warning}}
1.1.1.7. PIN of the person in each institution
[ CC ]
1.1.1.7.1. Personal Identification Number(s)
*
[ CC ]
1.1.1.7.1.1. Country
*
{{$select.selected[ 'name']}}
[ ENUM ]
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1.1.1.7.1.2. Personal Identification Number (PIN)
*
[ BDT ]
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1.1.1.7.1.3. Sector
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[ ENUM ]
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1.1.1.7.1.4. Institution
[ CC ]
1.1.1.7.1.4.1. Institution ID
*
[ BDT ]
{{metaSection.institutionID.$$error}}
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1.1.1.7.1.4.2. Institution Name
*
[ CDT ]
{{metaSection.institutionName.$$error}}
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1.1.1.8. If PIN not provided for every institution, please provide
[ CC ]
1.1.1.8.1. Place of birth
[ CC ]
1.1.1.8.1.1. Town
*
[ CDT ]
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1.1.1.8.1.2. Region
[ CDT ]
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1.1.1.8.1.3. Country
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
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1.1.1.8.2. Father's family name at birth
[ BDT ]
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1.1.1.8.3. Forename of father
[ BDT ]
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1.1.1.8.4. Mother's family name at birth
[ BDT ]
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1.1.1.8.5. Forename of mother
[ BDT ]
{{metaSection.forenameMother.$$error}}
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1.1.2. Additional information on the person
[ SED ]
1.1.2.1. Nationality
[ ENUM ]
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1.1.2.2. Previous name(s)
[ SED ]
1.1.2.2.1. Previous family name(s)
[ BDT ]
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1.1.2.2.2. Previous forename
[ BDT ]
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1.1.2.3. Address of the person
[ SC ]
1.1.2.3.1. Type of address
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[ ENUM ]
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1.1.2.3.2. Address
[ CC ]
1.1.2.3.2.1. Street
[ CDT ]
{{metaSection.street.$$error}}
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1.1.2.3.2.2. Building Name
[ CDT ]
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1.1.2.3.2.3. Town
*
[ CDT ]
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1.1.2.3.2.4. Postal Code
[ CDT ]
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1.1.2.3.2.5. Region
[ CDT ]
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1.1.2.3.2.6. Country
*
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[ ENUM ]
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1.1.2.4. Pursues a professional or trade activity
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[ ENUM ]
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1.2. Request
*
[ SED ]
1.2.1. Please provide us information with following type(s)/source(s) of income
[ ENUM ]
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1.2.2. Please fill in the following if "Please provide us information with following type(s)/source(s) of income" = "Other type of income" :
[ SED ]
1.2.2.1. Other type of income
[ CDT ]
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1.2.3. Period in respect of which information is requested with following type(s)/source(s) of income
*
[ CC ]
Fixed period
*
[ CC ]
Open period
*
[ CC ]
1.2.3.1.1. Start date
*
[ BDT ]
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1.2.3.1.2. End date
*
[ BDT ]
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1.2.3.2.1. Type of Open Period
*
{{option.name}}
[ ENUM ]
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1.2.3.2.2. Start date
*
[ BDT ]
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2. Spouse/Partner Income Requested
[ SED ]
2.1. Spouse/Partner
[ SC ]
2.1.1. Person Identification
*
[ CC ]
2.1.1.1. Family name(s)
*
[ BDT ]
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
2.1.1.2. Forename(s)
*
[ BDT ]
{{metaSection.forename.$$error}}
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2.1.1.3. Date of birth
*
[ BDT ]
{{metaSection.dateBirth.$$error}}
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2.1.1.4. Sex
*
{{option.name}}
[ ENUM ]
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2.1.1.5. Family name(s) at birth
[ BDT ]
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2.1.1.6. Forename(s) at birth
[ BDT ]
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2.1.1.7. PIN of the person in each institution
[ CC ]
2.1.1.7.1. Personal Identification Number(s)
*
[ CC ]
2.1.1.7.1.1. Country
*
{{$select.selected[ 'name']}}
[ ENUM ]
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2.1.1.7.1.2. Personal Identification Number (PIN)
*
[ BDT ]
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2.1.1.7.1.3. Sector
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[ ENUM ]
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2.1.1.7.1.4. Institution
[ CC ]
2.1.1.7.1.4.1. Institution ID
*
[ BDT ]
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2.1.1.7.1.4.2. Institution Name
*
[ CDT ]
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2.1.1.8. If PIN not provided for every institution, please provide
[ CC ]
2.1.1.8.1. Place of birth
[ CC ]
2.1.1.8.1.1. Town
*
[ CDT ]
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2.1.1.8.1.2. Region
[ CDT ]
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2.1.1.8.1.3. Country
*
{{$select.selected[ 'name']}}
[ ENUM ]
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2.1.1.8.2. Father's family name at birth
[ BDT ]
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2.1.1.8.3. Forename of father
[ BDT ]
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2.1.1.8.4. Mother's family name at birth
[ BDT ]
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2.1.1.8.5. Forename of mother
[ BDT ]
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2.1.2. Additional information on the person
[ SC ]
2.1.2.1. Nationality
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[ ENUM ]
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2.1.2.2. Relationship to the person named in section 1
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[ ENUM ]
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2.1.2.3. Please fill in the following if "Relationship to the person named in section 1" = "Other" :
[ SC ]
2.1.2.3.1. Other
[ CDT ]
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2.1.2.4. Address of the person
[ SC ]
2.1.2.4.1. Type of address
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[ ENUM ]
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2.1.2.4.2. Address
[ CC ]
2.1.2.4.2.1. Street
[ CDT ]
{{metaSection.street.$$error}}
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2.1.2.4.2.2. Building Name
[ CDT ]
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2.1.2.4.2.3. Town
*
[ CDT ]
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2.1.2.4.2.4. Postal Code
[ CDT ]
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2.1.2.4.2.5. Region
[ CDT ]
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2.1.2.4.2.6. Country
*
{{$select.selected[ 'name']}}
[ ENUM ]
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2.1.2.5. Pursues a professional or trade activity
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[ ENUM ]
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2.2. Request
[ SED ]
2.2.1. Please provide us information with following type(s)/source(s) of income
[ ENUM ]
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2.2.2. Please fill in the following if "Please provide us information with following type(s)/source(s) of income" = "Other type of income" :
[ SED ]
2.2.2.1. Other type of income
[ CDT ]
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2.2.3. Period in respect of which information is requested with following type(s)/source(s) of income
*
[ CC ]
Fixed period
*
[ CC ]
Open period
*
[ CC ]
2.2.3.1.1. Start date
*
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
2.2.3.1.2. End date
*
[ BDT ]
{{metaSection.endDate.$$error}}
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2.2.3.2.1. Type of Open Period
*
{{option.name}}
[ ENUM ]
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2.2.3.2.2. Start date
*
[ BDT ]
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3. Member(s) of the family other than the spouse/partner income requested
[ SED ]
3.1. Member of the family other than the spouse/partner income requested
[ SED ]
3.1.1. Member of the family other than the spouse/partner
[ SC ]
3.1.1.1. Person Identification
*
[ CC ]
3.1.1.1.1. Family name(s)
*
[ BDT ]
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
3.1.1.1.2. Forename(s)
*
[ BDT ]
{{metaSection.forename.$$error}}
{{metaSection.forename.$$warning}}
3.1.1.1.3. Date of birth
*
[ BDT ]
{{metaSection.dateBirth.$$error}}
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3.1.1.1.4. Sex
*
{{option.name}}
[ ENUM ]
{{metaSection.sex.$$error}}
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3.1.1.1.5. Family name(s) at birth
[ BDT ]
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3.1.1.1.6. Forename(s) at birth
[ BDT ]
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3.1.1.1.7. PIN of the person in each institution
[ CC ]
3.1.1.1.7.1. Personal Identification Number(s)
*
[ CC ]
3.1.1.1.7.1.1. Country
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
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3.1.1.1.7.1.2. Personal Identification Number (PIN)
*
[ BDT ]
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3.1.1.1.7.1.3. Sector
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[ ENUM ]
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3.1.1.1.7.1.4. Institution
[ CC ]
3.1.1.1.7.1.4.1. Institution ID
*
[ BDT ]
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3.1.1.1.7.1.4.2. Institution Name
*
[ CDT ]
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3.1.1.1.8. If PIN not provided for every institution, please provide
[ CC ]
3.1.1.1.8.1. Place of birth
[ CC ]
3.1.1.1.8.1.1. Town
*
[ CDT ]
{{metaSection.town.$$error}}
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3.1.1.1.8.1.2. Region
[ CDT ]
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3.1.1.1.8.1.3. Country
*
{{$select.selected[ 'name']}}
[ ENUM ]
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3.1.1.1.8.2. Father's family name at birth
[ BDT ]
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3.1.1.1.8.3. Forename of father
[ BDT ]
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3.1.1.1.8.4. Mother's family name at birth
[ BDT ]
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3.1.1.1.8.5. Forename of mother
[ BDT ]
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{{metaSection.forenameMother.$$warning}}
3.1.1.2. Additional information on the person
[ SC ]
3.1.1.2.1. Nationality
[ ENUM ]
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3.1.1.2.2. Relationship to person named in section 1
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[ ENUM ]
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3.1.1.2.3. Other relative
[ CDT ]
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3.1.1.2.4. Address of the person
[ SC ]
3.1.1.2.4.1. Type of address
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[ ENUM ]
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3.1.1.2.4.2. Address
[ CC ]
3.1.1.2.4.2.1. Street
[ CDT ]
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3.1.1.2.4.2.2. Building Name
[ CDT ]
{{metaSection.buildingName.$$error}}
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3.1.1.2.4.2.3. Town
*
[ CDT ]
{{metaSection.town.$$error}}
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3.1.1.2.4.2.4. Postal Code
[ CDT ]
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
3.1.1.2.4.2.5. Region
[ CDT ]
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3.1.1.2.4.2.6. Country
*
{{$select.selected[ 'name']}}
[ ENUM ]
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3.1.1.2.5. Pursues a professional or trade activity
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[ ENUM ]
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3.1.2. Request
[ SED ]
3.1.2.1. Please provide us information with following type(s)/source(s) of income
[ ENUM ]
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3.1.2.2. Please fill in the following if "Please provide us information with following type(s)/source(s) of income" = "Other type of income" :
[ SED ]
3.1.2.2.1. Other type of income
[ CDT ]
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3.1.2.3. Period in respect of which information is requested with following type(s)/source(s) of income
*
[ CC ]
Fixed period
*
[ CC ]
Open period
*
[ CC ]
3.1.2.3.1.1. Start date
*
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
3.1.2.3.1.2. End date
*
[ BDT ]
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
3.1.2.3.2.1. Type of Open Period
*
{{option.name}}
[ ENUM ]
{{metaSection.typeOpenPeriod.$$error}}
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3.1.2.3.2.2. Start date
*
[ BDT ]
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4. Additional Information
[ SC ]
4.1. Additional Information
[ CDT ]
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5. Documents supporting the request attached
[ SC ]
5.1. Attached document(s)
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[ ENUM ]
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5.2. Other document(s)
[ CDT ]
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